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Children's International School-Clarendon
1227 North Scott Street
Arlington, VA 22209
(703) 527-3607

Current Inspector: Stephanie Salvatori (571) 389-0980

Inspection Date: Sept. 9, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Consultation was given on maintaining an unobstructed stairwell from the upstairs (2's area) to the outside backyard, director's questions about I-9 forms for staff (licensing does not regulate) as well as renewal in the Spring. Basement area in the 4/5's bathroom and hallway will be painted this weekend as they were unable to complete last week.

Comments:
An unannounced monitoring visit was conducted today. Three classes were present with a total of 36 children in ratio with direct care staff. Four emergency medications were present with two staff having current MAT certification. Medication for one child is stored in the Director's desk rather than the lock box on top of the refrigerator. Please consider keeping all medications in one place to avoid possible confusion if needed in a hurry. Lunch served today was going to be spinach manicotti, carrots, strawberries and wheat bread with milk. Observed children in outside play, circle time, reading, changing diapers and transition to rest room. Rooms are clean and well equipped with materials and age appropriate materials to support Reggio Emilia curriculum. Areas of non-compliance are identified in this report. Please sign and date the report and return it to me within 10 calendar days from date of receipt. If you have any questions regarding the inspection, please feel free to contact me. Thank you Ann Dramstad Licensing Inspector 703-314-0860 ann.dramstad@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record and medication review, a child's allergy action plan could not be implemented as a medication was not on-site. Evidence: Child # 1's medication action plan called for an antihistamine to be given as prescribed and authorized by the physician. However, no medication was present during the inspection.

Plan of Correction: Antihistamine was brought in by the parent on 9/12/2016.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas of the center are not being maintained in a safe, clean and operable manner. Evidence: 1. The bathroom cabinet door in the 4/5 's classroom has a broken hinge and is taped to hold it onto the cabinet frame 2. Mouse droppings were observed in the 4/5's bathroom in both bathroom cabinets. Licensing Inspector was unable to determine how old the droppings were as the Center Director did not know if the previous sighting had been cleaned up by the exterminator. 3. The fence is bowing along one side in the backyard with nails protruding at the top. 4. The lattice behind one picnic table is coming loose from the desk and has 15 small staples/exposed nails. 5. A rail is loose at the front door horizontal railing.

Plan of Correction: 1. Door on the bathroom cabinet was repaired on 9/10/2016. 2. The center has a monthly exterminating service. The exterminator came the same afternoon that the inspection was done. It was noted by the exterminator that the school being closed for six days could have been the reason for the droppings. Treatment completed. 3. Fence repaired on 9/10/2016 4. Rail will be repaired by 10/31/2016.

Standard #: 22VAC40-185-510-A
Description: Based on medication review, one medication authorization/action plan was incomplete. Evidence: The written plan for child #1 was not signed by the parent giving the center the authorization to administer the medication.

Plan of Correction: Authorization was signed by the parent.

Standard #: 22VAC40-185-510-C
Description: Based on medication review, a medication was expired. Evidence: An emergency medication for child #2 expired 2/2016.

Plan of Correction: New prescribed medication was brought in by the parent.

Standard #: 22VAC40-185-510-E
Description: Based on medication review, an emergency medication is not properly labeled. Evidence: The medication is not in the original container which contains the dosage amount and the times to be given. The medication was in a ziplock bag with the child's name printed on the bag.

Plan of Correction: Parent brought in the prescription label on 9/12/2016.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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